Individual
STEPHANIE DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 689-1540
Mailing address
24369 WATER HICKORY RD, PONCHATOULA, LA 70454-4254
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/02/2023
Last updated
06/20/2023
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